7th A La Carte Academy Registration | M.A.K.E. Greatness Academy

Registration for: *

7th Grade - Fall 2022 - Spring 2023

Campus: *

Student and Parent Information

Student's Name *

First

Last

Birthday *

Student's Current Age *

Student's Current Grade Level *

How did you hear about us?

Child's Educational Background *

Please attach a copy of your child's 504 plan or IEP if applicable.

Click or drag a file to this area to upload.

Parent/Guardian Name *

First

Last

Parent/Guardian Phone *

Parent/Guardian Email *

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Policies & Procedures *

My child and I understand and agree to abide by the school's Policies & Procedures.

Medical and Emergency Information

Emergency Contact 1 (other than parent/guardian listed above) *

First

Last

Emergency Contact 1 Phone Number *

Emergency Contact 1 relationship to student *

Emergency Contact 2 (other than parent/guardian listed above) *

First

Last

Emergency Contact 2 Phone Number

Emergency Contact 2 relationship to student

Medical Waiver *

I agree to the terms & conditions of the Medical Waiver.

Insurance Information

Company

Policy Number

Doctor Name

Doctor Phone

Preferred Hospital

Does your child have any allergies or medical conditions? Please explain:

Approved Guardians for Checkout

Check Out Guardian 1 *

First

Last

Phone 1 *

Check Out Guardian 2

First

Last

Phone 2

Academy Commitments

Payment Agreement *

I agree to the Payment Agreement listed below:

- A Yearly Family Registration fee of $150 is due at the time of registering.
-A refundable deposit of $250 is due prior to the 1st day of school. This deposit will be retained if the family does not fulfill their one year commitment. For families that do fulfill their commitment, this deposit can be returned at the end of the school year or held to hold the student’s spot for the next year.
- Supply fees will cover provided curriculum. They are based on grade level and will be invoiced to you by email.
- Tuition is a commitment for the year: 9 payments will be required (*unless eligible for the tuition discount program which will be reflected on your monthly invoice).
- Tuition is due on the 20th of each month starting in August, ending in April.
- A late payment of $25 will be added to any payments over 3 days late.

Volunteer Agreement *

I agree to the Volunteer Agreement listed below:

- We rely on parent involvement in order to keep our tuition costs low.
- I understand that a parent/guardian is required to volunteer at least 4 hours per month.
- Additional fees will be added to my tuition on the months I am unable to meet this requirement.
- Sign up slots will be available through our Parent Portal.

Media Release Agreement *

I agree to the Media Release Agreement listed below:

-I grant permission to M.A.K.E. Greatness Academy, hereinafter known as the “Media”, to use my image (photographs and/or video) for use in Media publications including:
Videos, Emails, Marketing Brochures, Newsletters, General Publications, Social Media, Websites.
-I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use
is known to me or unknown, and I waive any right to royalties or other compensation
arising from or related to the use of the image.
-I have read this release and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to agreeing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

I consent to my information being published in our Private Parent Portal. *

Yes
No

Course Selection

Please choose your options below.

8:30am - 9:30am:

7th/8th Grade - General Science

Tuesdays and Thursdays, $75/month

9:30am - 10:30am:

7th/8th Grade - Math

Tuesdays and Thursdays, $75/month

10:30am - 11:30am:

7th/8th Grade - Lunch/Recess

Tuesdays and Thursdays, $30/month

11:30am - 12:30pm Tuesday Elective Options (please choose one):

Group Violin
Music Elements
Acting I
Chess

$60/month

11:30am - 12:30pm Thursday Elective Options (please choose one):

Group Guitar
Group Piano
Spanish
Art

$60month

12:30pm - 1:30pm:

7th/8th Grade - Literature

Tuesdays and Thursdays, $75/month

1:30pm - 2:30pm:

7th/8th Grade - Texas History
7th/8th Grade - U.S. History

Tuesdays and Thursdays, $75/month

Family Registration Fee

Total

$ 0.00

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